Individual provider Active NPI

Clayton J. Toddy, PSY.D.

  • Psychologist
  • Sioux City, IA
National Provider Identifier
1881634277
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
00765 Issued in IA
Practice address
600 4TH St
Sioux City, IA 51101-1750
Phone
(712) 234-0220
Fax
(712) 234-0225
NPI assigned
Jun 7, 2006
Last updated
Jan 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 00328 IA
Psychologist 103T00000X 00765 IA Primary

Addresses

Primary practice location

600 4TH St
Sioux City, IA 51101-1750

Mailing address

600 4TH St
Sioux City, IA 51101-1750
Phone (712) 234-0220

Other identifiers 3

IdentifierTypeStateIssuer
I13094005OtherIAMEDICARE PTAN
00328OtherIAIA LICENSE
00765OtherIALICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
765IAMDMental Health Counselor
00328IAMDClinical Neuropsychologist
00765IAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Services Psychologist Past Accepting new patients
Ven Mental Health and TMS Clinic LLC PastSince Jul 9, 2025 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1881634277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 4TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011750",
            "telephone_number": "712-234-0220",
            "fax_number": "712-234-0225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 4TH ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011750",
            "telephone_number": "712-234-0220",
            "fax_number": "712-234-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODDY",
        "first_name": "CLAYTON",
        "middle_name": "J.",
        "credential": "PSY.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "IA",
            "license": "00328",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IA",
            "license": "00765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "I13094005",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA LICENSE",
            "identifier": "00328",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "00765",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.